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Abstract Total quality management (TQM) is one of the most important concepts that have captured the attention of many organizations around the world, especially after the outstanding success in the field of industry. The concept of TQM was adopted in higher education institutions (HEIs) because it was considered as a means to enhance the quality of higher education and as one of the common and desirable administrative patterns in the current period. The majority of studies confirmed that the application of TQM has a significant impact on the organizations through improving current performance and increasing job satisfaction levels among the employees, which leads to increase production, profit rate, lower costs, and also improve employee relations. TQM defined as a comprehensive management way characterized by performing the correct work in a correct manner from the first time to satisfy the customers and achieve the organization goals effectively and efficiently in the shortest time through the interaction of all its members. It is known in HEIs as an administrative strategy adopted by the educational institution which characterized by continuous development and based on a set of principles in order to graduate a qualified students at a high level of quality from all mental, psychological, moral and social aspects to meet the needs of the labor market and satisfy all the beneficiaries in the society. Aim of the study: The aim of the study is to determine obstacles of implementing total quality management at Faculty of Nursing, Damanhour University. Study design: A descriptive design was used to conduct this study. Setting: The study was conducted at all scientific departments at Faculty of Nursing, Damanhour University (N=9 departments), namely: Nursing Administration, Medical Surgical Nursing, Pediatric Nursing, Gerontology Nursing, Community Health Nursing, Obstetric and Gynecological Nursing, Psychiatric and Mental Health Nursing, Critical Care and Emergency Nursing and Nursing Education. Subjects: The study was conducted at all faculty staff members from the nine scientific departments at the Faculty of Nursing, Damanhour University was included (N=102) and who was available during time of data collection. Tools: The study utilized one tool for data collection which was the obstacles to TQM implementation questionnaire sheet. Tool 1: The obstacles to TQM implementation questionnaire sheet: Developed by Mosadeghrad(16) (2013), and modified by Moustafa and Abd-Elhamid(4) (2017) to measure the obstacles of TQM implementation. It consisted of 69 items divided into five subscales namely: aspect of administration (9items), faculty staff member (14 items), scientific research (9 items), community service (9 items) and the faculty (28 items). Responses was measured on a 3-point Likert rating scale ranging from (1) weak to (3) strong. The scoring system for levels of obstacles was done as follows: weak obstacles range from 69-114, medium obstacles range from 115-160, strong obstacles range from161-207 and total score ranges from 69-207. In addition, a demographic data sheet of faculty staff members including questions about: department, gender, position tittle, years of experience and marital status. Method: 1. An official written permission was obtained from the dean of Nursing Faculty, Damanhour University to collect study data. 2. The study tool was distributed to five experts in the field of the study and tested for its content validity. They were one professor from Nursing Administration Department, Alexandria University, two professors from Nursing Administration Department, El- Mansoura University and two assistant professors from Nursing Administration Department, Tanta University. The necessary modifications were done based on their comments. 3. The reliability of the tool was tested statistically using Cronbach’s Alpha Coefficient test to measure internal consistency of the items composing each dimension of the tool. The results of Cronbach’s Alpha Coefficient test which proved to be strongly reliable (.963) for the obstacles to TQM implementation scale. 4. A pilot study was carried out on 10% of total sample size of faculty staff member (N=10) who were not included in the study subjects in order to check and ensure the clarity and applicability of the tool, identify obstacles and problems that may be encountered during data collection and estimate the time needed to fill the questionnaire and the necessary modification were done. 5. Data collection for this study was conducted by the researcher by hand- delivered questionnaires to the study subjects after explanation the aim of the study and the needed instruction was provided to them. The data collection took about two months from 1-10-2019 to 30-11-2019. Ethical Considerations 1. The research approval was obtained from the ethical committee at the faculty of Nursing –Damanhour University, prior to the start of the study. 2. Before data collection, an informed written consent was obtained from the study subject for participation in the study to collect the necessary data. 3. Privacy and right to refuse to participate in the study was assured. 4. Confidentiality and anonymity regarding data collected was maintained. Statistical analysis: 1. The collected data were coded and entered in special format to be suitable for computer feeding. Following data entry, checking and verification process were carried out in order to avoid any errors. 2. Data were analyzed using the statistical package for social science SPSS (version 20). The following statistical analysis measures were used: a. Descriptive statistical measures, which included: numbers, percentages, and averages (Minimum, Maximum, Arithmetic mean ( X ), Standard deviation (SD). b. Statistical analysis tests, which included Chi square test, student t test and ANOVA test. c. Graphical presentation included: Bar graphs were done for data visualization. The main results of the present study were as follows: The result showed that TQM implementation obstacles were ranked as: scientific research, aspect of administration, the faculty, faculty staff and community services obstacles. The present study clarified that there was a highly statistical significant correlation between scientific departments and subscale scientific research obstacle levels. The study result revealed that the most of TQM obstacles have highly statistical significant correlation and each other at p value (.000). According to faculty staff members demographic characteristics, the vast majority of the faculty staff members (96.1%) were females and the majority (80.6%) were married. while, one-third of them (31.1%) were assistant lecturers and less than half (43.7%) had 5 years of experience and more respectively. In the light of the finding of the recurrent study, the following recommendation can be suggested: 7. Developing workshops for academic leaders, faculty staff members and employees about polices and strategies of TQM implementation. 8. Encourage faculty staff members to participate in decision making and problem solving regarding TQM implementation issues. 9. Establish standards for academic leader’s selection which in relation with the international standards. 10. Spreading the culture of quality at the organization and its scientific departments. 11. Funding the scientific research with a special budget. 12. Future studies that should be conducted: Developing strategies to overcome the obstacles of TQM implementation at Faculty of Nursing, Damanhour University. Replicated this study by using qualitative methods to provide more understanding for TQM obstacles at Faculty of Nursing, Damanhour University. The impact of accreditation on the educational process at Faculty of Nursing, Damanhour University. Comparison between accreditation and non-accreditation faculties at Damanhour University. Dissemination of this study to all faculties at Damanhour |